| NPI | 1821041823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9272) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002042) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2019-06-19 |